latelenovela Chapter 514
Chapter 514
The popularization of antipyretic stickers eventually caused a certain storm.
Lin Feng received calls from several senior doctors, including his own teacher Zhang Guofeng, and the dean, all of whom pointed out that pharmaceutical companies were putting pressure on the hospital.
Pharmaceutical companies are still quite powerful in China.
However, he also told Lin Feng that this matter is big and big, and that small is also small, and Harmony Hospital has this ability to shield Lin Feng from wind and rain.
This is the strength of Harmony Hospital.
Of course, there are a lot of 'negative news' about Lin Feng on the Internet, but it has been sprayed to death by the majority of netizens.
Moreover, Lin Feng's remarks also caused the sales of antipyretic stickers to drop significantly.
This makes those manufacturers angry and anxious, but helpless.
You can only keep posting popular science stickers on the Internet: heat dissipation stickers are actually very useful.
(PS: Not useless, but very limited.) ）
......
Soon, with the breaking of the news of the cannon king of a certain star, the antipyretic post turmoil finally stopped...
At this time, Lin Feng's live broadcast audience rose to 35 million daily with the deheating and posting turmoil, and Douyin's fans also rose to 70 million...
At this time,
Couples who were last (a month ago) diagnosed with pancreatitis, gallstones and became pregnant,
Came back to double-check.
The result of the review was very pleasantly surprised, pancreatitis was gone, and only gallstones remained.
And the condition of the fetus is also very good, it can be regarded as saved.
This is a blessing of bad luck.
......
A new day,
Continue to sit.
The live broadcast room starts.
"It's coming!!"
"It's time to raise your posture!"
"Look at Dr. Lin's face..."
"Old irons, 666 up ~~~~"
“666~~~"
“666~~~"
It's very lively...
First patient.
This is a middle-aged man, relatively strong, wearing a shirt, like a professional white-collar worker, at least at the supervisor level.
But at this time, his face was full of weariness.
Male, 38 years old, Zhao Feng
"Doctor Lin, I'm having a little trouble breathing right now..."
When Zhao Feng said this, he broke once in the middle and took two breaths before he finished speaking.
Lin Feng: "When did it start?" "
Zhao Feng: "It started three days ago, but today is the most serious, I feel that I can't breathe..."
Lin Feng grabbed Zhao Feng's pulse.
The beating is fast, and the pulse rate is at least more than 120.
Suddenly became serious.
"In bed... Take you to the rescue room..."
Live Broadcast Room:
"A big patient came..."
"Can't breathe?"
"Blind guessing begins!"
"Pneumonia?"
"Lung cancer? Pulmonary tuberculosis? COPD? "
"I see that his neck is short and thick, maybe the glands are enlarged and blocking the airway..."
......
Arrive at the rescue room.
Connect to an ECG monitor.
Take a look.
Boy!
Heart rate: 127...
Blood pressure: 140/97...
Blood oxygen: 91% ...
Breathing: 35...
This blood oxygen is very problematic!
Moreover, there may be problems with heart rate and blood pressure.
And that breathing, normal people's breathing is 12-20 times / minute, the breathing rate is too fast and tired, if you are tired, it is easy to suffer respiratory failure.
Lin Feng didn't say a word, and quickly ordered:
"Non-invasive ventilator, oxygen mask, first!"
A noninvasive ventilator requires only a mask, which is then inflated to deliver oxygen to the patient. Generally, patients with dyspnea can cope with non-invasive ventilators.
soon
With the use of non-invasive ventilators,
The patient's blood oxygen begins to rise slowly.
Lin Feng breathed a sigh of relief for the time being.
"Tell me about your illness..."
"Well... It was like this, 3 days ago I started a fever, then a sore throat ... Bought some antipyretic, then there was no effect ... This morning, I suddenly had difficulty breathing, so I quickly called..."
Sore throat?
Looking at the patient's short and thick neck, is it because the glands are enlarged, causing difficulty breathing?
But if the throat airway is blocked, the heart rate should not be so high, right?
Lin Feng checked.
Found not like.
"Chest pain?"
"No..."
Will it be a pneumothorax?
Pneumothorax, in layman's terms, is that the lungs are ruptured, the air enters the chest cavity, compresses the lungs, the lungs are even more unable to expand, and the patient cannot breathe well, so it will be extremely hypoxic.
In this case, it is most likely a pneumothorax.
But Lin Feng touched it, and with the feeling, he didn't feel like it.
Lin Feng held the stethoscope patient's lungs.
No crackles...
And the breath sounds are also symmetrical...
After listening to the heart, I didn't particularly find it, but it was beating very fast!
A round of examination was carried out, and no particular findings were made.
(Many patients are special and do not have typical symptoms.) ）
"Draw blood... To do myocardial enzyme spectroscopy (consider heart problems, especially myocardial infarction, although there is no chest pain, but atypical myocardial infarction cannot be ruled out), blood routine is also done (white blood cells) ,......"
"Take an electrocardiogram..."
"Wait to do a CT, say hello to the imaging department, and go over later..."
Lin Feng ordered down a series of orders.
The people below are moving fast.
After 1 minute,
The ECG is constantly being pulled out ...
Electrocardiogram: no abnormalities... Issues such as myocardial infarction were ruled out ...
At this point,
The blood has been drawn.
"Go to the CT room..."
Lin Feng felt that this patient was not simple, so Lin Feng did not return to the consultation room, but followed to the CT room.
After 10 minutes,
The patient was pushed into the CT room and cut to the front.
The patient slowly pushes into the inside of the CT machine (the round hole on the TV).
"Doctor Lin, are you coming? I can just take a break," the CT teacher said with a smile.
"Good."
Lin Feng did not postpone.
Pushed near the chest ...
And then......
"Wait!"
Lin Feng was shocked!
The chest and lungs of patient Zhao Feng turned out to be a lot of white!
In general,
Normal people's lung imaging should be black, because normal lung tissue contains gas and high transparency, so it appears black.
But this patient Zhao Feng's two lungs are almost completely white!
This means that the lungs are no longer filled with air, but probably oozing fluid!
"Is it pneumonia?"
"And very severe pneumonia? Pus soaked both lungs? "
Why do drowning people die?
It is because the lungs are full of water, and the alveoli are in the water, how can the air enter?
So
Such a serious 'pneumonia', no wonder the blood oxygen is so low.
Speeding up CT scans.
Lin Feng found that most of the lung tissue was white!
It is a hundred times more serious than Lin Feng's prediction before doing CT!
Stand up sharply!
"Go!"
"Back to the rescue room!"
CT doesn't do it!
Hurry back to the rescue!
With such a severe liquid diffusion, the patient's blood oxygen may not be able to hold it just along the way!
CT can bring a relatively advanced and small non-invasive ventilator, but it cannot carry an ECG monitor, and Lin Feng did not bring a small oximeter to the patient, so I don't know how the patient's blood oxygen situation is on the road.
Quickly push back to the emergency department.
Connect to an ECG monitor.
At a glance,
Lin Feng broke out in a cold sweat!
Blood oxygen 85%!!
Careless!
As for why he didn't hear a crackle, Lin Feng thought that it was too much liquid?
Lin Feng could clearly see that the patient's lips had begun to turn cyanosis.
He was trying to breathe, breathing very quickly, but his eyes were full of panic and anxiety, as if he felt the powerlessness of his life.
"Quick, intubation!!"
Lin Feng shouted loudly.
Fortunately, these are always available.
The nurse took it out.
Another nurse rushed over with a ventilator.
Lin Feng said to the patient Zhao Feng: "In your case, you must be intubated immediately... Your consent is required..."
The patient nodded apprehensively.
I wanted to talk but couldn't.
When he was about to sign, the patient's hand was weak.
Can't sign.
"Have you contacted your family?"
"I got in touch, but my family is out of town, so I want to come by plane..."
At this time, it is logical to go through the process, report, and the leadership agrees...
But the patient's situation must not wait.
"No matter!"
Lin Feng gritted his teeth.
Anesthesia is started.
Intravenously pushed 5mg of midazolam!
Intubation is then started.
The result is plugged in!
After entering the trachea,
Lin Feng's heart was shocked!
The laryngoscope suddenly showed inside, filled with a lot of blood!
Bright red blood!